Linked Life Data

8156464

Source:http://linkedlifedata.com/resource/pubmed/id/8156464

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1994-5-19
pubmed:abstractText
Although the North American Symptomatic Carotid Endarterectomy Trial and the European Collaborative Trial demonstrated the efficacy of carotid surgery for the prevention of stroke in patients with symptomatic high grade stenosis, it is important to remember that within the surgical arms of these studies the perioperative stroke rate was 5.5% and 7.5% respectively. Few studies have addressed the factors responsible for perioperative stroke. In a recent report from our institution, 66 of 3062 carotid endarterectomies were complicated by perioperative stroke. Of these, 65% were due to a failure in surgical technique. The mechanisms of failure included ischemia during carotid clamping (10), postoperative thrombosis and embolism (25) and other factors (8). Strokes not related to technical failures were due to reperfusion injuries and intracranial hemorrhage (12) and other events in the postoperative period (30 days). Specific problems and possible solutions are discussed. Further improvements in the technique of carotid endarterectomy may lead to lower complication rates and a wider acceptance of surgery for the prevention of stroke.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0008-428X
pubmed:author
pubmed:issnType
Print
pubmed:volume
37
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
124-7
pubmed:dateRevised
2007-8-16
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
3. Surgical management of internal carotid artery stenosis: preventing complications.
pubmed:affiliation
Department of Surgery, New York University Hospital, NY 10010.
pubmed:publicationType
Journal Article